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Predicting outcome of substance abuse treatment in a feedback study: Can recovery curves be improved upon?
Paul Crits-Christoph1, Hannah M Markell1, Robert Gallop2
1a Department of Psychiatry , University of Pennsylvania , Philadelphia , PA , USA.
Objective:
The goal of the study was to evaluate whether enhanced normative feedback recovery curves are needed for treatment of substance use problems.
Method:
Patient predictors of outcome were examined using data from four substance abuse treatment clinics.
Results:
Baseline severity of symptoms/functioning, employment, and craving were found to be associated with rate of change in symptoms/functioning. Several other variables were associated with rate of change in alcohol use, although in the opposite direction than found in efficacy trials.
Conclusions:
The results point to the complexity of designing feedback systems using normative recovery curves for those with substance use problems and highlight the important differences between real-world treatment of those with substance use problems compared to data from efficacy trials.
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